DR. JEREMY BLAIR GREEN (NPI# 1225249055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225249055 |
| Entity Type | Individual |
| Full Name | DR. JEREMY BLAIR GREEN |
| Credential | M.D. |
| Practice Address |
4425 Ponce De Leon Blvd Suite 200 Coral Gables FL 33146-1837 |
| Practice Telephone | 3054436606 |
| Practice Fax Number | 3054434890 |
| Mailing Telephone | 3054436606 |
| Mailing Fax Number | 3054434890 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME107541 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME107541 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467822361 | Jeremy Tremain Green | Behavioral Analyst | 7884 W Sahara Ave, 7884 W Sahara Ave, Las Vegas, NV 89117-1944 | 2015-10-05 |
| 1295372522 | Jeremy D Green | Audiologist | 293 S Main St, Logan, UT 84321-5203 | 2019-12-05 |
| 1639526700 | Jeremy Green | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave, Room 659, New Orleans, LA 70112-2865 | 2016-05-18 |
| 1578997847 | Jeremy Todd Green | Behavioral Analyst | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2013-08-22 |
| 1316244155 | Jeremy Warren Green | Chiropractor | 43950 Margarita Rd, Suite A, Temecula, CA 92592-2743 | 2011-02-14 |
| 1962658153 | Jeremy Brent Green | Counselor | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-08-07 |
| 1629090055 | Jeremy Green | Radiology | 506 6th St, Brooklyn, NY 11215-3609 | 2006-07-24 |
| 1346266210 | Jeremy Raleigh Green | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-14 |
| Street Address |
4425 PONCE DE LEON BLVD SUITE 200 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780648162 | Joely Kaufman-janette | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2006-04-13 |
| 1801283122 | Skin Associates of South Florida, P.a. | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2015-04-24 |
| 1114159837 | Jacquelyn Rose Dosal | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2009-08-13 |
| 1053549550 | Liat Corcia | Pediatrics | 4425 Ponce De Leon Blvd, Suite 115, Coral Gables, FL 33146-1837 | 2009-06-23 |
| 1598934671 | Christopher S. O'connell | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2008-02-22 |
| 1982803953 | Bernard H Cohen, Md Pa | Dermatology | 4425 Ponce De Leon Blvd, Suite 130, Coral Gables, FL 33146-1837 | 2007-07-11 |
| 1649479619 | Bernard H Cohen | Dermatology | 4425 Ponce De Leon Blvd, Susite 130, Coral Gables, FL 33146-1837 | 2007-07-11 |
| 1699984336 | Ana R Caos | Nurse Practitioner | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2007-05-21 |
| 1609994508 | Oscar Hevia | Specialist | 4425 Ponce De Leon Blvd, Coral Gables, FL 33146-1837 | 2007-03-27 |
| 1962520890 | Fredric S. Brandt, M.d.,p.a | Specialist | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1629578208 | John Hicks | Dermatology | 1345 Mendavia Ave, Coral Gables, FL 33146-1103 | 2018-02-20 |
| 1497292924 | Javier Alonso Md Pa | Dermatology | 475 Biltmore Way Ste 200, Coral Gables, FL 33134-5724 | 2017-01-23 |
| 1972929792 | Aron Gregory Nusbaum | Dermatology | 4425 Ponce De Leon Blvd Ste 230, Coral Gables, FL 33146-1871 | 2014-03-17 |
| 1104871193 | M. Elena Kendall Md Pa | Dermatology | 356 Alhambra Circle, Coral Gables, FL 33134 | 2006-05-24 |
| 1104882257 | Rube J Pardo Md Phd Pa | Dermatology | 1828 Ponce De Leon Blvd, Coral Gables, FL 33134 | 2006-04-25 |
| 1780648162 | Joely Kaufman-janette | Dermatology | 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | 2006-04-13 |
| 1356315485 | Javier Alonso-llamazares | Dermatology | 475 Biltmore Way Ste 308, Coral Gables, FL 33134-5749 | 2006-02-15 |
| 1366420978 | Maria Elena Kendall | Dermatology | 356 Alhambra Cir, Coral Gables, FL 33134-5004 | 2006-01-04 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.